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546 Four Corners Rdt Davie County, NC Tax Parcel Report Wednesday, October 12, 2016 �,� �,��.�l�ti �- +ra� . . y �, ... � : k? �.� z_ ._�. _.�: ,... ...�:.:.�......�:::.,..._T..-� �.;;�-..r , ,; — _..,�_____�—.�� _ �-.---------. ,'' � `._� '; �si:t � , �; �-,� �a f� � ,.s �.�.w� . .�t,, , • b11; i (.J. °�(� � % , ^. '+.. � ��( , /`• � 1 ^i i�.i - . j ��Y � • � JJn. �� "'� ' 6_ ��:n ,��5 ,`�.,! "��' • �:,1. __.........._� � , � ��r ::,�,. J � `. . ,`+~/ ,f j'. Zjt .'f� i � fI WARNING: THIS IS NOT A SURV�Y . _: _ Parcel Information Parcel Number: B300000053 Township: Clarksville NCPIN Number: 5823395757 Municipality: Account Number: 36656000 Census Tract: 37059-801 Listed Owner 1: HOLT MICHAEL SHANE Voting Precinct: CLARKSVILLE Mailing Address 1: 546 FOUR CORNERS ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-6217 Voluntary Ag. District: No Legal Description: 9.68 AC FOUR CORNERS RD Fire Response District: COURTNEY Assessed Acreage: 10.60 Elementary School Zone: WILLIAM R DAVIE Deed Date: 7/1993 Middle School Zone: NORTH DAVIE Deed Book I Page: 001690465 Soil Types: MnB2,MdB,ChA,MdC,WATER Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 6910.00 Freatures Value: Land Value: 71150.00 Total MarketValue: 78060.00 Total Assessed Value: 78060.00 � 9�se�F All data Is providod as Is without warranty or guarantce of any kind either expressed or fmplied Including but not Ilmtted to the , Davie County� Implied warranties of inerchantability or fitness for a particular use. All users of Davfe County's GIS website shall hold harmless the _. County of Davie, North Carolina, its agents, consultants contractors or employees from any and all claims or causas of actton due to npt x,�i NC' or arfsmg out of the use or mability to usa the GIS data provided by this website. ,_ �—_..� _.,. .... _.__..__, . ._ .__ ..... ....... . _... .........__ ..._.....,....---.... ..._.. _ _........ ...._...--'-'.'----...�..--�----...._._.-- , - , °'` .. , _ . . `� , . _ , . . • /D. �l%�� ;,: a��xo��zaTiorr rro: Q$ Q � DAVIE COUNTY HEALTH DEPARTMENT ��- - Environmental Health Section PROPERTY INFORMATION Permittee's P.O. Box 848 Name: _��i�� y�;�_ Mocksville, NC 27028 Subdivision Name: "' ,� 1 Phone #: 704-634-8760 Directions ta property: �, "C:�. ✓ a✓.,_.1 �"""-^�� Section: Lot: � AUTHOWZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:#��- � - �� _ - '`� .�-��r Road Name: (�r, �= f >1 ��l �� Zip: �'�� **NOTE** This Authorization for Wastewater System Conshvction MUST BE ISSUED by the Davie County Environmental Health Section prior. to issuance of any Building Pernuts. This Forn�/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Pernuts. ' (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ,�' /' � r,,;' �~; % � �; � � ***NOTICE**� THLS AUTHORIZATION FOR WASTEWATER CONSTRUCTION .,� 3 r �,..; ,,�� .� �r�-�``�� ,�•c�"' �,., . , ; . A; . `,,� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED , ,.,•... __ . :, � . . , .. .: � . , . „ - , . ; � �s�.,Y , :...; . r,; � z� ""�'�:� � DAVIE COUNTY HEALTH DEPARTMENT �� 's `' � �}y � .�'='�'��=�. � IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ► .�� , . �ermittee's- . � � � Name: � �`��i ��_ ��;?. "�.� - : D'uections to property: '" � �' � ��-� �.- � �_ -� Subdivision Name: ecrion: Lot: Il�IPROVEMENT ,� PERMTI' Tax Office PIN:# �� '� '� _ " ,`i -�-. �.�,%;.,• � ,, � �. .� i . °' , , " Zip: `;�, . � . �.., Road Name: i ��-•- i r=:�= �� **NOTE** This Improvement Pemut DOFS NOT authorize the construction or installa6on of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building pemut. (In-compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, SecUon .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT LS SUBJECT TO REVOCATION IF S1TE '; : �` s .''� . =,; `;r� PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERNIIT BEFORE INSTALLING TI� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE %�7 ��h # BEDROOMS _'_i # BATHS �% # OCCUPANTS GARBAGE DISPOSAL: Yes oi{�o ) COMMERCIAL SPECIFICAITON: FACILTI'Y T'YPE # PEOPLE # PEOPLFJSHIFf # SEATS _ INDUSTRIAL WASTE: Yes or No LOT SIZE � TYPE WATER SUPPLY t I� DESIGN WASTEWATER FLOW (GPD) � NEW SITE 4� REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE %� GAL. PUMP TANK GAL. TRENCH WIDTH �'•'' '" ROCK DEPTH /_� � LINEAR FT. �?-?� REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT ��c' �/ f,.�,........_... .—..---�--�,..�. 1' ._-----_�-----�. �_ t� `�.--F- - _ _---.----.- **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 830 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. I OPERATION PERMIT SYSTEM INSTALLED BY: - AUTHORIZATION NO. � OPERATION PERMIT BY: �� DATE: —� /� **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WII.L FUNCTION SATISFACTORILY FOR ANY GNEN PERIOD OF TIME. DCHD OS/96 (Revised) � APPLICATION FOR SITE EVALUATION/IMPROVEMENT Davie County Health Department � ' Environmental Health Section P.O. Box 848 Mocksville, NC 27028 � (704) 634-8760 PERMIT `" �� j �� \ `� F�l�'� 1 � _"i- � � '� �11 , � ' Q �g�� t',,,1,/ )',i ; ppR1 U, :� ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE�H'0`NLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed I, 1,C�Qe� S. ��_�� Contact Person Mailing Address �U D C c�►-i�� u��, ��,.t� Q�_ Home Phone �i a- U6 3-�'s � City/State/Zip Y��1k�n�,�]�e�, ►J •[, a7oS�" BusinessPhone '� �� y63 -S6A� 2. Name on PermidATC if Different than Above Mailing Address 3. Application For: [] Site Evaluation City/State/Zip �(] Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [�Iobile Home [ ] Business [ ] Industry [ ] Other �, � 5. If Residence: # People # Bedrooms � # Bathrooms � [� Dishwasher [] Garbage Disposal [a-Washing Machine [ ] BasementlPlumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [] County/City €.�Vell [) Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? j�.]'�'es [] No If yes, what type? �� 1 {� �c-e nY�� d�v EZTHER A PLrtT OR SITE PLtIN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** ��rOF THE PROPERTY MUST BE SUBMITTED WITI-I T,H�S APPLICATION. Property Dimensions: � 9%� 4��s _ � WRITE DIRECTIONS (from ��locksville) TO PROPERTY: Tax Office PIN: #,�,� - �— - ��'� � �,(1 n � �T� � 1 C �� 'li'� �� . � Sf / ��' Property Address: Road N me our�' a. � r � `�i`�o c 5� y� � City/Zip � ' ; If in Subdivision provide information, as follows: � Name: � � � Section: Lot #: ; This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by �15��-1 �• � I to conduct all testing procedures as necessary to determine the site suitability. . /.� �� DATE �� I�' C1 7 SIGNATURE_�_�,�Q � Nc,�x.V�' Revised DCHD (06-96) THIS rlREtt MtIJ f3E USEb �Otz �I�IWZNG �OUIt SZTE PLrIN: - --_-- -- • --.,��-• � ,'� ou.��s�� _ � �' -- �., i.. r- � v �u,�i �/�r. L- L-T�"�'1 1�7 � ,D , APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 �o., �..;, :.... ., -. �..,. ,Il�C� � t� 9y�� 1. Application/Permit Requested By ��c..) 0. Y-CI �� L� _ Mailing Address ��• � �v�- � -I � � oC-f�5 Y - Home Phone �7 Q � - � � � � Business Phone „_ , � i �l L � / � � 2. Name on Permit if Different than Above 3. Application/Permit for: 4. System to Serve: ❑ Business ❑ House ❑ Industry 5. If house, mobile home: Subdivision �,General Evaluation ❑ Mobile Home ❑ Other No. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: ❑ Public �'Private 8. Property Dimensions ��'�� 0.C-1Z�5 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Septic Tank Installation � Place of Public Assembly ❑ Unknown Section Lot # ❑ BasemenUPlumbing O BasemenUNo Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal ❑ Yes ❑ No ❑ Community RNOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revoca4ion, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: / - /` s,� �Od� /Y � -/O �Ql-S � .�`� O?ti �bzf,�%�� /�I . ��. � � h'�SS � l�'��-%.� I C�' / ' � 7� S \►C� 1��`�1� ��,�1 � � �'�' �/ � i r�" /'Q� � 0 3ti 1 e-� s� `��` / � /,, . J�"�' //` l-..�� r�� (�� (J� Q h %'�/� i" 1�- �a Qcrv�.s �ra hc � l l �! _J /� ,�e��'� d / n g • S� � � ✓�1 • d n � . C� � This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. '/% �- � ;S� 9� __ ��7�r�� 1C' DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: � 1. I OWN the property. ❑ 2. I DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitabiliry for a ground absorption sewage treatment and disposal system. DATE DCHD (12-90) SIGNATURE �"'" , �. DAVIE COUNTY HEALTH DEPARTMENT . � Environmental Health Section Soil/Site Evaluation NAME _ ,/3/' �' ` C- DATE EVALUATED !� � � � ADDRESS PROPERTY SIZE �� PROPOSED FACIILTY �c� !r''' �� LOCATION OF SITE � r�� ':"' �� i- Water Supply: On-Site Well �/�� Community Public Evaluation By: Auger Boring � Pit Cut FACTORS Landscape position Slope 7. HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineraloqy HORIZON III DEPTH Texture group Consistence Structure MineraloAy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASS.LFICATION LONG-TERM ACCEPTANCE 1 2 3 4 .L ,� G � � ,� � „ ��. , j , « �; „ '� .j".� .s�",�- �',C i -/ SITE CLASSIFICATION: _ �� LDNG-TERM ACCEPTANCE RATE: _�/ REMARKS: DCHD (01-901 , yy>�,�- .�/�� .- /' l'� ,�i ; - i � �'� // r—'� ,%' /• / >.'� • � � , EVALUATED BY• fLl�% OTHER(S) PRESENT: LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slop� T-Terrace FP-Flood plain H-Head slope Texture S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt SICL-Silty clay loam� SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay Moist VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm Wet NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plarstic Structure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangularblocky PL-Platy PR-Prismatic MineraloQy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free watet or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 ■■��■��■��■■��■��■ A��i. ■��■�■��■��e��■��■n��■■��■��1�■ ■�■�■��■��■��■■ ■��■■��■■��■��■ ■■��■��■��■��■��■��■■�■��■��■■ ■■■■■��■��■�■��■�■■��■��■��■ ■■�■��■�/��■■��■ ■��■��■■■�■��■�■■��■■■■��■■�r��■ ■��■■��■■■■��■��■■��i■■��■�■��■■ ■■■��■��■�■��■��■��■ ■��■��■■■��■�■��■�■��■��■ ■��■■��■�� ■��■��■��■ ■��■■��■��■��■��■��■■��■�� ■��■■■■■�■��■��■■�■��■�■■■��■��■�■�■■■��■��l�■�■■ ■��■��■�■■�� ■��■■��■��■��\� ■�i��■■■��■��■■��■ ■��■■■��■■!�■��■!��■ ■�■■��■��■■■��■■�� ■�■�■�■��■�■■ ■�■■��■��■�■�■■��■��■��■��■��■■�\��■■ ■�■■��■■��■��■��\��■■��■■ ■��■��■��■�� ■��■��■��■i■■�■■ ■��■��■■��■■■■��■■��■■�■��■ ■��■��■�t�■��■■��■a��■t��■��■��■�■��_�■�■■��■■��■ ■■��t��■■■■■��■��■��■ �■■��■�� ■■t��t��■■■��■■��■ ��■��■�■��■�■■��■��■��■ ■■■■��■��s�■■��o��=��■��■��■��■��■�■�� ■��■■��■■��o��_��■ ■��■■■��■■��■��■��■■■� ■�■�� ■ ■�■ ■��■��■��■�o��■�� ■��l��N��n��■��■ ■��■■■■�■■■■■■��■��■■■��■�■■■��■��■�■��■��■■�■�� ■ ��s��■■� ■��■��■�■�■■■��■��■�'��■��■■■��■ ■��s�■■��■■��■��r.�■��■��■��■��■ ■��■��■�■�■■��■��■■�e��■��■�■��■��■�■ ■�■■��■■��■��:�� ■��■��■��■ ■��ri�■��■��■��■��■■ ....................................�...........■........�........ .................................................... .... ........ ::::::::::::::::::::�:::::::::::::::::::::::::::::::::::::::�:: .........................,..............................�.......... iSC:::::�l::::::�3:C:�:��::::::�::::::i1:::::: :::::.�l::::::i� ■��■��■��l��■��■��1�■■��■��■�I■■��■��■��■■■■i■ ........................�.............��...................�........ ........................►.............�...�............... ........ ■■��■■■��t��■■��===_=_==!'�e��11�� ■��■■ ■��■��■�■■�■��■�■��■��■�■��■� ■ ■��■�■��■ .................................................C�..�....�.......� :C:::::::CC::CC:CC::::CC:C��:::i1CCC��:CC:ri:'.:C.:CC:.::�:::. .........................�►��...........��......��...........�.... ■��■��■�■��r�� ■ue�C■��■�■�� ■��■��■��■��■■��■■�� ■��■ ■■■��■ ■ ■��■■��■�■��■■■��■��n��_��■ ■��■��■��■■��■�� ■�� ■�� ■�■��■■��■��■��■��■■■�� ■0�■��■� ■��■��■�� ■��■�■��■�■��■�� ■��■��■��■��■�� ■■�■��■��■ ■■��■��■��■��■��■ iiiiiii�iii�iiiiiii=�iiiiiiiiiiiiiiiiiiiiiiiiiii�iiiiiiui=ii�ii ...........................................�......�....■.......... ■��■��■��■■■��■l��H�� ■■�■��■�� ■��■��■��■■��■■■■ ■�■��■■ ��■�� ■ ■�■■■��■■■■��■��■■��■��■��■��■��■��■��■�■��■ ■��■��■�■��■��■��■�■�� ■■■�■■��■■■■■■��■■��■��■■��■�■�O■ ■■�■��■�■��■■■�■■��■■��■■■��■��■��■� ■��N■��■■��■��■■��N�� ■�� N�� ■��■��■��■■■■��■�■��■�■��■�/■�■��■ ■■■��■�■��■■■■■■■��■ ■■■��■■�■■��■��■��■��■ ....................C........... ................................ .■..............................i�................................ :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .................................................................. ......■..■■...■■■■....■■■■.■■■■■■■■.■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ .................................................................. ....■...................................................■..■...■.. ................................�................................ ��u��i��0�� Davie County .�lealtir �e ar�tmerri and .�lome .�fealtf �i yency 210 HOSPITAL STREET I P.O. BOX 683 MOCKSVILLE, N.C. 27028 PHONE: (704) 834-8985 February 5, 1993 ' Edward Peele Rt. 5, Box 399 Mocksville, NC 270�8 Re: Site Evaluation Courtney Church Rd. — 14+ acres Dear Mr. Peele: � As requested, a representative froA this office visited the aforementioned site on February 3, 1993. The site was found provisionally suitable for the installation of a ground absorption sewage system. If yot� have any questions, please feel free to contact this office. Sincerely, ��!��• ��'� �� Rober�t B. Hal l, Jr. , R. S. Environ�ental Health Section RH/wd Enclosure S � �